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HomeMy WebLinkAboutC14-068 Colorado Petroleum Storage Tank Fund Reimbursement Application COLORADO PETROLEUM STORAGE SUPPLEMENTAL REIMBURSEMENT APPLICATION--
TANK FUND Short Form S (2014)
This form should be used,and can only be used,on Supplemental Reimbursement Applications when the RAP#
Applicant has already established eligibility for reimbursement of remediation costs relative to this occurrence.
CDLE/OPS Internal Use only
The nature of this Supplemental Reimbursement Application is: [Select all that apply]
Additional costs not previously reimbursed. ' X
Other(Explain):
List RAP#of last application previously filed for this remediation: 12964
Applicant's Full Social Security#or Federal
Legal Name: Eagle County Government Tax ID# 84-6000762
Contact Person: Mr.Harry Taylor Phone# 970-328-4112 Fax# 970-328-3549
Mailing Address:
Street Eagle County Government-P.O. Box 850 Email: harry.taylor©eaglecounty.us
City Eagle State CO Zip 81631
Reimbursement Remit Entity Mr.Harry Taylor
Mailing Address
(if different): Street Eagle County Government- P.O. Box 850 Email: harry.taylor @eaglecounty.us
City Eagle State CO Zip 81631
Applicant is(select one): Government
Site Name: Eagle County Road and Bridge Facility(OPS Event ID:859)
Site Address:
Street 165 Sopris Drive
City Basalt State CO Zip 81621
Complete this section only if you want the representative to be the primary contact and copied on all correspondence.
Applicant's Name Weston Solutions,Inc. -Roy Weindorf Email: roy.weindorf©westonsolutions.com
Representative Address 1435 Garrison Street,Ste 100
(if applicable) Phone# 303-729-6146
City Lakewood State CO Zip 80215 Fax# 303-729-6101
Total from Listing of Costs, last column: $85,445.80
Less reimbursement from any other source(see#5):
NET REIMBURSEMENT REQUEST: $85,445.80
Dates of work covered by this application: From: 10/24/05 To: 1/10/08
REV 9/10/13
*Prior versions of this application will not be accepted 1 of 4
I c.
REIMBURSEMENT INFORMATION
1 Will there be additional reimbursement applications for this release? NO
Have any of the costs submitted for reimbursement already been submitted with another reimbursement
2 application? If yes,identify these costs and explain why you are resubmitting these costs: NO
Do any of the costs submitted for reimbursement cover a time period for which you have already
received,or requested reimbursement? If yes, identify these costs and explain why you are resubmitting
3 them: NO
Except for this remediation,is there any relationship-personal,financial,or otherwise-between
Applicant and any company or person who performed work for which reimbursement is claimed? If yes,
4 explain:
NO
Has Applicant received,or does Applicant expect to receive,compensation for corrective action costs
from ANY source other than the Colorado Petroleum Storage Tank Fund,including lawsuits,settlements,
judgments,contributions from other parties? If yes,state amount of other reimbursement:
$ Identify source of reimbursement,including court case name and number,
5 if applicable: NO
Note: If there have been any changes to insurance from that submitted with the Original Application,
provide updated information with this Application(in the same format as the Original Application-
insurance information).
Do any costs claimed for reimbursement represent work performed by the Applicant or Applicant's YES
6 employees? If yes,submit the Affidavits Regarding Work Performed by Applicant.
Has the Legal Name,Remit Entity or Address, Mailing Address or Tax Payer Identification Number
changed since the submittal of the Original or last Supplemental Reimbursement Application? If so, NO
please submit a W-9 with an original signature and Internal Revenue Service(IRS)documentation (see
Application Checklist).
REV 9/10/13
*Prior versions of this application will not be accepted 2 of 4
By submitting this application,the Applicant affirms and agrees that:
1. The Applicant certifies,under penalty of law,that Applicant is the appropriate person to request reimbursement,and that this
document and all attachments were prepared under Applicant's direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted.
2. The Applicant is the owner/operator or duly authorized agent of the owner/operator responsible for this Site.The Applicant is
and shall be responsible for assuring compliance with all applicable State and federal regulations.
3. The information submitted by the Applicant,to the best of Applicant's knowledge and belief,is true,accurate and complete.
Applicant understands that this application will be submitted by the Colorado Department of Labor and Employment(CDLE or
State)for consideration by the Petroleum Storage Tank Committee(Committee). Upon demand by the Committee,Applicant
agrees to return the entire award Applicant may receive or any other amount the Committee considers appropriate if(a)
Applicant misrepresented or omitted any fact,either In writing or orally,relevant to the determinations made by the Committee
or the CDLE;or(b)Applicant fails to complete,to the Committee's or the CDLE's satisfaction,the corrective action.
4. The Applicant shall not be entitled to obtain any other reimbursement from any source other than the State for the same costs
or work reimbursed by the State. Any reimbursement the Applicant receives or is entitled to receive,including insurance
proceeds,is and shall be the property of the State of Colorado to the extent of payment(s)made to the Applicant by the State
from the Petroleum Storage Tank Fund. Upon receipt of any such reimbursement from a source other than the State,
Applicant shall immediately report and pay such reimbursement to the State.
5. To the extent payment is made from the Petroleum Storage Tank Fund,the Applicant hereby assigns to the State of Colorado
any rights the Applicant may have which may allow the Applicant to seek and obtain recovery from any other entity for the
costs or work reimbursed by the State,including the right to recover from insurance companies.
6. The Applicant shall not submit any further claims for reimbursement from the State for the Site(s)and work identified in this
application,other than an amendment to the application or protest of the Fund Payment Report,if any,for work not heretofore
reimbursed.
7. Applicant shall indemnify,save,and hold harmless the State,its employees and agents,and the Committee against any and all
claims,damages,liability and court awards including costs,expenses,and attorney fees and related costs,incurred as a
result of any act,omission or misrepresentation by the Applicant,or its employees,agents,subcontractors,or assignees
pursuant to the terms of this application.
As to governmental entity Applicants,no term or condition of this application shall be construed or interpreted as a waiver,
express or implied,of any of the immunities,rights,benefits,protection,or other provisions,of the Colorado Governmental
Immunity Act,CRS 24-10-101 et seq.,or the Federal Tort Claims Act,28 USC 2671 et seq.,as applicable,as now or hereafter
amended.
8. In addition to any other legal rights the State of Colorado may have,the State shall have audit and on-site inspection rights for
3 years after payment.
9. The remediation services and supplies for which expenses are listed in this application were performed and/or purchased at the most
reasonable rates available for compliance.
10. The Applicant shall provide all formal or informal environmental assessment information to any future owner upon request.
11. In the event the Applicant breaches any of the terms,conditions or requirements of this application,the State of Colorado,in
addition to any other remedies,at law or equity,shall be entitled to immediate repayment on demand of all amounts paid to the
Applicant;and in the event that the State is required to take legal action to enforce any of the provisions contained herein,the
State shall be entitled,in addition to damages,to its costs and reasonable attorney fees and related expenses incurred in
connection with such enforcement.
12. At all times during the performance of this remediation,the Applicant shall strictly adhere to all applicable federal and state
laws,rules and regulations that have been or may hereafter be established,including without limitation 42 USC 6991 and CRS
8-20.5-101,et seq.,and associated regulations.
13. The State may allocate more or less funds to the remediation described in this Application than the amount requested by the
Applicant. Once the reimbursement request is approved,the State will issue a Fund Payment Report,substantially in the form
of Exhibit B,documenting the amount that will be processed and paid.
14. The Committee has the authority and the right to designate funds be paid to Applicants on pro-rata basis when the Petroleum
Storage Tank Fund balance prevents payment in full,pursuant to CRS 8-20.5-206(e)(2).
15. Each additional request by Applicant for reimbursement from the Petroleum Storage Tank Fund must be submitted on a new
supplemental application. Any additional payment by the State shall be conditioned upon the issuance by the Committee of a
new Fund Payment Report for payment.
16. Pursuant to 7 CCR 1101-14,Article 8,the Applicant may file a protest of the Fund Payment Report if the Applicant disputes a
decision by the Committee,as stated on the Fund Payment Report. The Applicant may petition the Committee to review its
decision. A Protest must be submitted within 60 days of the date of the Fund Payment Report. See 7 CCR 1101-14,8-6. The
Applicant shall use the form of Protest of Fund Payment Report provided by the Division of Oil and Public Safety of the
Colorado Department of Labor and Employment.
17. The maximum amount to be paid by the State,if any,in connection with this reimbursement request shall be authorized by
the Committee in the Fund Payment Report.
18. The payment by the State and acceptance by the Applicant of any reimbursement amounts requested under this application
shall be deemed to be good and sufficient consideration for the promises,certifications and affirmations made by Applicant
in this Application.
REV 9/10/13
`Prior versions of this application will not be accepted 3 of 4
Signatory Page
Applicant:
Eagle County Government
Legal Name of Applicant
84-6000762
Social Sf' Nu ber or FEI
L.-- �/f/ /1
Sig 1 e opplican or Authorized Officer Da e
.
I,//,a-t/ /IWVC P J rkiii/n GG 4th
Print Name&Title of Authorized Officer
Complete if this is a replacement signatory page
RAP# FACILITY Mt
EMAIL TO: If you have any questions please consult the OPS website and/or
cdle PSTReimbursementAoos(a�state.co.us contact OPS at(303)318-8510.
OPS website: http://www.colorado.govlcdle lops
REV 9/10/13
*Prior versions of this application will not be accepted 4 of 4
Form W-9 Request for Taxpayer Give Form to the
(Rev.December2011) Identification Number and Certification requester.Do not
Department of the Treasury send to the IRS.
Internal Revenue Service
Name(as shown on your income tax return)
EAGLE COUNTY GOVERNMENT
N Business name/disregarded entity name,if different from above
c
rn
Check appropriate box for federal tax classification:
H o ❑ Individual/sole proprietor ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate
ap
v 2 ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► Exempt payee
Q
C y
a ; ❑ Other(see instructions)■ GOVERNMENT
w Address(number,street,and apt.or suite no.) Requester's name and address(optional)
v
a 500 BROADWAY,PO BOX 850
co
City,state,and ZIP code
cn EAGLE,CO 81631
List account number(s)here(optional)
Part I Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line I Social security number
to avoid backup withholding.For individuals,this is your social security number(SSN).However,for a
resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - -
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a
TIN on page 3.
Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number
number to enter.
—8-41 - 6 0 0 0 7 6 2
Part II Certification
Under penalties of perjury,I certify that:
1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and
2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am
no longer subject to backup withholding,and
3. I am a U.S.citizen or other U.S.person(defined below).
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage
interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and
generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the
instructions on page 4.
Sign Signature of Mariya a Trifonova 09/09/2013
Here u.s.person■ Date►
General Instructions Note.If a requester gives you a form other than Form W-9 to request
your TIN,you must use the requester's form if it is substantially similar
Section references are to the Internal Revenue Code unless otherwise to this Form W-9.
noted. Definition of a U.S.person.For federal tax purposes,you are
Purpose of Form considered a U.S. person if you are:
A person who is required to file an information return with the IRS must •An individual who is a U.S.citizen or U.S.resident alien,
obtain your correct taxpayer identification number(TIN)to report,for •A partnership,corporation,company,or association created or
example,income paid to you,real estate transactions,mortgage interest organized in the United States or under the laws of the United States,
you paid,acquisition or abandonment of secured property,cancellation •An estate(other than a foreign estate),or
of debt,or contributions you made to an IRA.
•A domestic trust(as defined in Regulations section 301.7701-7).
Use Form W-9 only if you are a U.S.person(including a resident
alien),to provide your correct TIN to the person requesting it(the Special rules for partnerships.Partnerships that conduct a trade or
requester)and,when applicable,to: business in the United States are generally required to pay a withholding
tax on any foreign partners'share of income from such business.
1.Certify that the TIN you are giving is correct(or you are waiting for a Further,in certain cases where a Form W-9 has not been received,a
number to be issued), partnership is required to presume that a partner is a foreign person,
2.Certify that you are not subject to backup withholding,or and pay the withholding tax.Therefore,if you are a U.S.person that is a
3.Claim exemption from backup withholding if you are a U.S.exempt partner in a partnership conducting a trade or business in the United
payee.If applicable,you are also certifying that as a U.S.person,your States,provide Form W-9 to the partnership to establish your U.S.
allocable share of any partnership income from a U.S.trade or business status and avoid withholding on your share of partnership income.
is not subject to the withholding tax on foreign partners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
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Weston Solutions,Inc.
1435 Garrison St.Suite 100
T EPP' Lakewood,Colorado 80215
WES
303-729-6100•303-729-6101
„'S O l)l IONS www.westonsolutions.com
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This form should be used when an applicant submits an affidavit as proof of payment for costs claimed for reimbursement
See 7CCR1101.14,8-2(d)(2)(D): This form is not required if copies of canceled checks are provided.
• THIS FORM MUST BE REPRODUCED ON THE COMPANY LETTERHEAD OF THE PAYEE(NOT on the applicant's
letterhead). AFFIDAVITS THAT ARE NOT ON THE PAYEE'S LETTERHEAD ARE NOT ACCEPTABLE.
• This form must be signed by the payee(NOT by the applicant.)
• Use a separate affidavit for each contractor.
• Do not use this form if there is any affiliation or relationship between the applicant and the payee.
Applicant's Name:Eagle County Government Mr.Harry Taylor
Site Name and Address:Basalt Road and Bridge Facility(OPS ID:859),165 Sopris Drive,Basalt,Colorado 81621
Check As Appropriate:
X I,being first duly sworn upon oath and being of lawful age,state that the following invoices relative to the
referenced application for reimbursement from the Colorado Petroleum Storage Tank Fund have been paid in full
by the applicant
I,being first duly sworn upon oath and being of lawful age,state that the following invoices relative to the
referenced application for reimbursement from the Colorado Petroleum Storage Tank Fund will be paid in full by
the applicant upon receipt of the reimbursement in accordance with a promissory agreement (Provide a signed
and notarized copy of the agreement)
INVOICE# INVOICE AMT.PAID
DATE
0ct2005-03947 10/24/2005 $60,400.00
0ct2006-02443 10/11/2006 $12,700.00
Ju12007-02603+ 7/17/2007+ $22,000.00
Dec2007-02683 12/1112007
I further state that there is no relationship or affiliation between myself and the applicant.
I hereby certify that the foregoing information is correct to the best of my knowledge,Information and belief. I understand
there are severe civil andlor criminal penalties for any false statement or misrepresentation of a material fact,knowing it to be
false,or failing to -i close a aterial t.witirthe intent to defraud. t1
Signature (J / Date I-a 7 /If
f,�
Print Name Title • ,, , Phone#(' . - )-7a1 &l a�'
`\`,
1, I• tX\ .11*,.._
k.
ow, '1
,
Bil Ti j ••• tt•
:'I bscribed and sswom•(o . ore me h the county of T 504A ,State of Colo 010 ,this
4 +IVIJEZ Ill1� _' (month], �l y (year). My commission expires 3 /-�O/G/
•
11`t .....r.•ikP-
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original in blue Notary Public Signature
Rev 6/6/11
T Weston Solutions,Inc.
WEA 1435 Garrison Street,Ste 100
�� Lakewood,Co 80215
303-729-6100
www.westonsolutions.com Consultant Listing#:
Client Name:Eagle County Road&Bridge Dept Invoice#:OCT2005-03947
Billing Address:Attn:Mr Brad Higgins,Director Invoice date: 10/24/2005
Eagle County Environmental Health Dept,P.O.Box 179 Job#:06668.017.001
City,State,Zip:Eagle,CO 81631-0179
Site Name:Eagle County Road and Bridge Facility
Site Address:165 West Sopris Drive
City,State,Zip:Basalt,Colorado 81621
Event#:859 Start Date: 10/24/2005 End Date:11/23/2005
ri
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-..M 3r I.44 Remediation?'sys`tem installation/excavation °-,t, ,,, .,,,._.,..,t,., , , , ,'t ,0,,,;r.', W,',',.(,44:44^;;' ,%ga r; :; 4.4
I. Excavation
3D I. 5.3 Project Manager hours 44 106.00 4,664.00 0% ............--------_$ 4,664.00
3D I. 52 Sr Engineer hours 4 112.00 448.00 0% �$ 448.00
3D I. 5.5 Staff Geologist/Scientist hours 79 75.00 5,925.00 0% $ 5,925.00
3D I. 5.8 Contract Administrator hours 2 47.00 94.00 0% $ 94.00
3D I. 12.4 Organic Vapor Meter days 4 75.00 300.00 0% $ 300.00
3D I. 12.1 Misc.Field Supplies days 4 12.00 48.00 0% ��$ 48.00
3D I. 9.4 Milage miles 450 0.41 18225 0% /$ 18225
3D I. 9.2 Lodging days 8 100.00 800.00 0% $ 800.00
3D I. 9.3 Meals days 8 35.00 280.00 0% /$ 280.00
3D I. 12.3 Interface Probe days 4 32.40 129.60 0% $ 129.60
3D I. 6.33 Shipping ship. 1 15.00 15.00 0% $ 15.00
3D I. 6.9 Analytical Services:BTEX/MTBE/TVPH in Soil samples 6 115.00 690.00 15% $ 793.50
3D I. 6.15 Analytical Services:TCLP Pb and Cr samples 2 97.00 194.00 15% „....,.....--.-----'."$ 223,10
3D I, 624 Analytical Services:Paint Filter Test samples 2 19.00 38.00 15% $ 43.70
3D I. 8.7 Utility Locator hours 8 65.00 520.00 15% $ 598.00
3D I. 2.8 Dewatering Transport/Decontinunation days 25 100.00 2,500.00 15% • $ 2,875.00
3D I. 13.9 Security Fence days 5 20.00 100.00 0% $ 100.00
3D I. 9.4 Courier miles 220 0.37 81.40 0%
/$ 81.40
Activity Code I.Subtotal $ 17,600.55 ,
TOTAL 3D COSTS: $ 17,600.55
3 iii>4'Remediatlonsy stet'startup&'implementationreport ..1, ,',11 . ;: ;;. a,,,e K;Y, 4' s 4Li,a,-`ii '''''''''''t:' `i: .. ,.=i
I. Data review&reporting
3E i. 5.3 Project Manager hours 10 106.00 1,060.00 0% $1,060.00
3E i. 5.5 Staff Geologist/Scientist hours 40 75.00 3,000.00 0% $3,000.00
3E i. 5.7 CADD Operator hours 6 53.00 318.00 0% / $ 318.00
3E i. 5.8 Contract Administrator hours 2 47.00, 94.00 0% / $ 94.00
3E i. 5.9 Administrative Support hours 4 43.00 172.00 0% / $ 172.00
3E i. 6.33 Shipping ship. 1 18.63 18.63 0% $ 18.63
Activity Code i.Subtotal S 4,662.63
TOTAL 3E COSTS: $ 4,662.63
,R 3G '`'.`..4554 Monitoring plan implementation&report preparation A. , s_, ..,c, , "r ,i.,:
g. Monitoring plan implementation
3G g. 5.3 Project Manager hours 12 106.00 1,272.00 0% $ 1,272.00
3G g. 5.5 Staff Geologist/Scientist hours 120 75.00 9,000.00 0% / $ 9,000.00
3G g. 5.7 CADD Operator hours 12 53.00 636.00 0% $ 636.00
3G g. 5.8 Contract Administrator days 2 47.00 94.00 0% $ 94.00
3G g. 5.9 Administrative Support hours 4 43.00 172.00 0% $ 172.00
3G g. 12.1 Misc.Field Supplies days 4 12.00 48.00 0% /$ 48.00
3G g, 6.33 Shipping days ' 4 18.63 74.52 0% $ 74.52
Activity Code g.Subtotal $ 11,296.52
I. Data review&reporting
3G i. 5.3 Project Manager hours 12 106.00 1,272.00 0% $ 1,272.00
3G i. 5.5 Staff Geologist/Scientist hours 120 75.00 9,000.00_ 0% /$ 9,000.00
3G i. 5.7 CADD Operator hours 12 53.00 636.00 0% $ 636.00
3G i. 5.8 Contract Administrator hours 2 47.00 94.00 0% /$ 94.00
3G i. 5.9 Administrative Support hours 4 43.00 172.00 0% $ 172.00
3G i. 6.33 Shipping ship. 4 18.63 74.52 0% /$ 74.52.
Activity Code i.Subtotal _ $ 11,248.52
k. Drilling Number of wells:5
3G k. 5.3 Project Manager hours 1 106.00 106.00 0% $ 106.00
3G k. 5.2 Staff Geologist/Scientist hours 8 75.00 600.00 0% $ 600.00
3G k. 5.8 Contract Administrator hours 1 47.00 47.00 0% / $ 47.00
3G k. 12.4 Organic Vapor Meter days 1 75.00 75.00 0% /$ 75.00
3G k. 12.1 Misc.Field Supplies days 1 12.00 12.00 0% $ 12.00
3G k. 9.4 Milage miles 380 0.41 153.90 0% J $ 153.90
3G k. 9.3 Meals days 1 35.00 35.00 0% / $ 35.00
3G k. 12.3 Interface Probe days 1 60.00 60.00 0% /$ 60.00
3G k. 6.33 Shipping days 1 18.63 18.63 0% /$ 18.63
3G k. 14.4 IDW Drums drums 2 55.00 110.00 0% $ 110.00
3G k. 2.1 Drilling foot 12 18.00 216.00 15% / $ 248.40
3G k.
2.2 Drill Rig Mob/Demob. miles 380 4.00 1,520.00 15% $ 1,748.00
3G k. 2.4 Well Completion foot 12 18.00 216.00 15% /$ 248.40
3G k. 10.9 Well Permits permit 1 190.00 190.00 15% - $ 218.50
3G k. 3.6 Soil Cuttings Disposal yd' 50 20.00 1,000.00 15% $ 1,150.00
Activity Code k.Subtotal $ 4,830.83/
TOTAL 3G COSTS: $ 27,375.87
A' 'W314 14 Remediation system decommissioning g;f.r.,a a*Wi`.-- A4t ,4,',r,7 4,s44.4 .,+ -.,A ,z.ti;,4.0t4114 .41,-::s,.±Vi,
h. System decommissioning
311 h. 5.3 Project Manager hours 3 106.00 318.00 0% $ 318.00
3H h. 5.5 Staff Geologist/Scientist hours 26 75.00 1,950.00 0% /$ 1,950.00
3H h. 12.1 Misc.Field Supplies hours 4 12.00 48.00 0% - $ 48.00
311 h. 9.4 Milage miles 380 0.41 153.90 0% /$ 153.90
311 h. 9.2 Lodging days 1 100.00 100.00 0% $ 100.00
311 h. 9.3 Meals hours 1 35.00 35.00 0% /$ 35.00
311 h. _ 6.33 Shipping hours 1 18.63 18.63 0% .„...../"."--,$ 18.63
Activity Code h.Subtotal $ 2,623.53/
TOTAL 3H COSTS: $ 2,623.53
PHASE OF WORK COST SUMMARY
INVOICE
PHASE OF WORK CODE AND DESCRIPTION TOTAL COSTS
3A Pilot tests $
3B Remediation system design $
3C CAP report preparation $ -
3D Remediation system installation/excavation $ 17,600.55
3E Remediation system startup&implementation report $ 4,662.63
3F Remediation system operation&maintenance $ -
3G Monitoring plan implementation&report preparation $ 27,375.87
3H Remediation system decommissioning $ 2,623.53
GRAND TOTAL $ 52,262.58
I.' -a
mils �` Weston Solutions,Inc.
1' ro Suite 810
�/ 143 Union Boulevard
�� Lakewood,Colorado 80228-1824
SOLUTIONS ®303-729-6100•Fax 303-729-6101
www.westonsolutions.com
3 November 2005
Mr.Ray Merry,Director
Eagle County Environmental Health Dept.
P.O.Box 179
Eagle,Colorado 81631-0179
Subject: Invoice for CAP Implementation
Eagle County Road and Bridge Facility
165 West Sopris Drive,Basalt
Weston Solutions,Inc. (Weston®)Work Order No.: 06668.017.001
Dear Mr.Merry:
Enclosed, please find the invoice for the implementation of the Colorado Department of Labor
and Employment Division of Oil and Public Safety (OPS) approved Corrective Action Plan
(CAP)for the former underground storage tank site at the Eagle County Road and Bridge Facility
located at 165 West Sopris Drive in Basalt, Colorado.
Field activities including the excavation and disposal of contaminated soil, dewatering,
monitoring well installation, and groundwater sampling were conducted from 15 to 24 August
2005. Weston has subsequently completed approximately 90 percent of a draft CAP
Implementation Report(CIR)which will be submitted to Eagle County for review after receipt of
survey data and incorporation of the upcoming November 2005 groundwater monitoring event.
Weston also prepared a draft CAP implementation update letter on 29 September 2005 for
submittal to OPS. The letter is currently under review by Eagle County.
In accordance with the approved proposal dated 29 July 2005, the enclosed invoice is in the
amount of $60,400.00. Outstanding work to be completed under this assignment includes
implementing three groundwater monitoring events and submitting the corresponding reports,the
completion and submittal of the CIR, and site closure activities. Please feel free to call Jon
Anstey or me at 303-729-6100 if you have any questions or require any additional information.
Sincerely,� Q
Q
BenY oller P.G.
Project Manager
Weston Solutions,Inc.
Enclosure
cc: Project File: (06668.016.001;3.3)
an employee-owned company .5
P:\EAGLE 06668\017_O0I CAP Implement\Invoice.doc
REMIT TO: Weston Solutions,Inc.
\ P.O.Box 538253
ci) . � Atlanta,GA 30353-8253
_- SOLUTIONS. 610-701-3000/Fax 610-701-4600
TO ENSURE PROPER CREDIT,PLEASE REFERENCE THE INVOICE
NUMBER ON THE REMITTANCE AND RETURN A COPY OF THE
INVOICE WITH PAYMENT.
Invoice Number: OCP2005-03947
Invoice Date: 10/24/05
Bill To: Remit To:
EAGLE COUNTY ROAD & BRIDGE DEPT Weston Solutions, Inc.
Attn: Mr. Ray Merry, Director P.D. Box 538253
Department of Environmental Health
PO Box 179
Eagle, CO 81631-0179 Atlanta, GA 30353-8253
Terms: NET 30
Due Date: 11/23/05 Invoice Total: 60,400.00
Project Number: 06668.017.001 Description: Basalt UST CAP Implement
Statement of Work:
ENVIRONMENTAL REMEDIATION SERVICES FOR IMPLEMENTATION OF CORRECTIVE ACTION PLAN - BASALT ROAD AND BRIDGE
FACILITY, BASALT, CO.
Lump Sum Invoice
60,400.00
Invoice Total 60,400.00
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Weston Solutions,Inc.
` 1435 Garrison Street,Ste 100
Wk ST Lakewood,Co 80215
r 303-729-6100
111111111111111._ _ASECIEUBEIZEII
www.westonsolutions.com Consultant Listing#:
Client Name:Eagle County Road&Bridge Dept Invoice#:OC12006-02443
Billing Address:At n:Mr Brad Higgins,Director Invoice date: 10/112006
Eagle County Environmental Health Dept,P.O.Box 179 Job#:06668.017.001
City,State,Zip:Eagle,CO 81631-0179
Site Name:Eagle County Road and Bridge Facility
Site Address: 165 West Sopris Drive
City,State,Zip:Basalt,Colorado 81621
Event#:859 Start Date: 10/11/2006 End Date: 11/10/2006
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g. Monitoring plan Implementation
3G g 5.3 _Project Manager hours 6 106.00 636.00 0% ■ •636.00
3G g 5.5 Staff Geologist/Scientist hours 28 75.00 2100.00 0% $2,100.00
3G g 5.8 Contract Administrator hours 2 47.00 94.00 0% $94.00
3G g 12.4 Organic Vapor Meter hours 2 75.00 150.00 0% $150.00
3G g 12.1 Misc.Field Supplies days 2 12.00 24.00 0% ^' $24.00
3G g 12.14 Water Quality Meter hours 2 150.00 300.00 0% $300.00
3G g 9.4 Milage miles 760 0.41 307.80 0% $307.80
3G g 92 Lodging days 2 100.00 200.00 0% ' $200.00
3G g 9.3 Meals days 4 35.00 140.00 0% $140.00
3G g 12.3 Interface Probe days 2 60.00 120.00 0% $120.00
3G g 6.33 Shipping ship. 2 18.63 37.26 0% $3726
3G g 6.9 Analytical Services:BTEX/MTBE/PVPHin Water samples 12 115.00 1380.00 15% $1,587.00
30 g 14.4 IOW Drums hours 8 55.00 440.00 0% ' $440.00
Activity Code g.Subtotal $8,136.06
I. Data review&reporting
3G i 5.3 Project Manager hours 6 106.00 636.00 0% ' $636.00
3G i 55 Staff Geologist/Scientist hours 60 75.00 4,500.00 0% $4,500.00
3G i 5.7 CADD Operator _ hours 6 53.00 318.00 0% ' $318.00
3G i 5.8 Contract Administrator hours 2 47.00 94.00 0% ' $94.00
3G i 5.9 Administrative Support hours 2 43.00 86.00 0% ' $86.00
3G i 6.33 Shipping _ ship. 4 18.63 7452 0% ' $74.52
Activity Code I.Subtotal _$ 5,708.52'
TOTAL 2D COSTS: $ 11,844.58
PHASE OF WORK COST SUMMARY
INVOICE
PHASE OF WORK CODE AND DESCRIPTION TOTAL COSTS
3A Pilot tests $ -
3B Remediation system design $ -
3C CAP report preparation $ -
3D Remediation system installationlexcavation $ -
3E Remediation system startup&implementation report $ -
3F Remediation system operation&maintenance $
3G Monitoring plan implementation&report preparation $ 11,844.58
3H Remediation system decommissioning $
GRAND TOTAL $ 11,844.58.
Weston Solutions,Inc.
VVEATSuite 810
■ 1
143 Union Boulevard
Lakewood,Colorado 80228-1824
SOLUTIONS ,. 303-729-6100•303-729-6101
www.westonsolutions.com
4 October 2006
Mr. Brad Higgins, Director
Eagle County Road and Bridge
P.O. Box 250
Eagle,Colorado 81631
Subject: Invoice for CAP Implementation
3rd and 4th Quarter 2006 Sampling and Reporting
Eagle County Basalt Road and Bridge Facility
165 West Sopris Drive,Basalt, Colorado
Weston Solutions, Inc. (Weston°')Work Order No.: 06668.017.001
Dear Mr. Higgins:
Enclosed, please find the invoice for the continued implementation of the Colorado
Department of Labor and Employment Division of Oil and Public Safety(OPS)approved
Corrective Action Plan (CAP) for the former underground storage tank site at the Eagle
County Road and Bridge Facility located at 165 West Sopris Drive in Basalt,Colorado.
Field activities including the groundwater sampling and reporting for the 3`a and 4th
quarters of 2006 which were conducted in accordance with the OPS approved CAP.
Weston has completed the 3'd quarter sampling event and submitted the draft report to
Mr. Raymond Merry for Eagle County review. The 4th quarter event and report are
scheduled to be completed in November 2006 to remain in compliance with the approved
CAP.
In accordance with the approved proposal dated 14 April 2006, the enclosed invoice is in
the amount of $12,700.00. Outstanding work to be completed under this assignment
includes one groundwater monitoring event and submitting the corresponding report.
Please note that the site closure activities remain to be completed per the invoice
submitted to Eagle County on 3 November 2005 once OPS grants site closure based on
groundwater conditions. Feel free to call me at 303-729-6178 if you have any questions
or require any additional information.
Sincerely,
P4.4- 4Z5"
Jonathan Anstey,P.G.
Project Manager
Weston Solutions,Inc.
Enclosure
cc: Project File: (06668.017.001; 3.3)
Mr.Raymond Merry(enclosures not included)
P:\EAGLE 06668\017 001 CAP Implement\Invoice-1006.doc
Ell T - REMITTO: Weston Solutions, Inc.
P.O. Box 538253
Atlanta,GA 30353-6253
SOLUTIONS,. 6I0-701-3000/Fax 610-701-4600
TO ENSURE PROPER CREDIT,PLEASE REFERENCE THE INVOICE
NUMBER ON THE REMITTANCE AND RETURN A COPY OF THE
INVOICE WITH PAYMENT.
Invoice Number: OCT2006-02443
Invoice Date: 10/11/06
Bill To: Remit To:
EAGLE COUNTY ROAD & BRIDGE DEPT Weston Solutions, Inc.
Attn: Mr. Ray Merry, Director P.O. Box 538253
Department of Environmental Health
PO Box 179
Eagle, CO 81631-0179 Atlanta, GA 30353-9253
Terms: NET 30
Due Date: 11/10/06 Invoice Total: 12,700.00
Project Number: 06668.017.001 Description: Basalt UST CAP Implement
Statement of Work:
ENVIRONMENTAL REMEDIATION SERVICES FOR IMPLEMENTATION OF CORRECTIVE ACTION PLAN - BASALT ROAD AND BRIDGE
FACILITY, BASALT, CO.
Description: AMOUNT
DUE
Lump Sum Invoice 12,700.00
Subtotal: 12,700.00
AMOUNT DUE 12,700.00
Invoice Total 12,700.00
SO4-03-011/A-09/02 I N V fl I C F
PMM
• T REMIT TO: Weston Solutions, Inc.
P.O. Box 538253
Atlanta,GA 30353-8253
SOLUTIONS, 6'(0.701-3(100/Fax 610-701-4600
TO ENSURE PROPER CREDIT.PLEASE REFERENCE THE INVOICE
NUMBER ON THE REMITTANCE AND RETURN A COPY OF THE
INVOICE WITI1 PAYMENT.
Invoice Number: OCT2006-02443
Invoice Date: 10/11/06
Bill To: Remit To:
EAGLE COUNTY ROAD & BRIDGE DEPT Weston Solutions, Inc.
Attn: Mr. Ray Merry, Director P.O. Box 538253
Department of Environmental Health
PO Box 179
Eagle, CO 81631-0179 Atlanta, GA 30353-8253
Terms: NET 30
•
Due Date: 11/10/06 Invoice Total: 12,700.00
Project Number: 06668.017.001 Description: Basalt UST CAP Implement
Statement of Work:
ENVIRONMENTAL REMEDIATION SERVICES FOR IMPLEMENTATION OF CORRECTIVE ACTION PLAN - BASALT ROAD AND BRIDGE
FACILITY, BASALT, CO.
Description: AMOUNT
DUE
Lump Sum Invoice 12,700,00
Subtotal: 12,700.00
AMOUNT DUE 12,700.00
Invoice Total 12,700.00
•
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Invoice Number: OCT2006-02443
Invoice Date: 10/11/06
Bill To: Remit To:
EAGLE COUNTY ROAD & BRIDGE DEPT Weston Solutions, Inc.
Attn: Mr. Ray Merry, Director P.O. Box 538253
Department of Environmental Health
PO Box 179
Eagle, CO 81631-0179 Atlanta, GA 30353-8253
Terms: NET 30
Due Date: 11/10/06 Invoice Total: 12,700.00
Project Number: 06668.017.001 Description: Basalt UST CAP Implement
Statement of Work:
ENVIRONMENTAL REMEDIATION SERVICES FOR IMPLEMENTATION OF CORRECTIVE ACTION PLAN - BASALT ROAD AND BRIDGE
FACILITY, BASALT, CO.
Description: AMOUNT
DUE
Lump Sum Invoice 12,700.00
Subtotal: 12,700.00
AMOUNT DUE 12,700.00
Invoice Total 12,700.00
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wF'S, Weston Solutions,Inc.
1435 Garrison Street,Ste 100
�� Lakewood,Co 80215
S , 303-729-6100
www.westonsolutions.com Consultant Listing#:
Client Name:Eagle County Road&Bridge Dept Invoice#:JUL2007-02603+DEC2007-02683
Billing Address:Attn:Mr Brad Higgins,Director Invoice date: 7/17/2007+12/11/2007
Eagle County Environmental Health Dept,P.O.Box 179 Job#: 06668.017.002
City,State,Zip:Eagle,CO 81631-0179
Site Name:Eagle County Road and Bridge Facility
Site Address:165 west Sopris Drive
City,State,Zip:Basalt,Colorado 81621
Event#:859 Start Date:7/17/2007 End Date:1/10/2008
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''=3G 4/ Monitoring plan implementation&report preparation,,, ..-;.. .,,s, ,,,,-,/ .„._, .,. .. ..,,:- ..,,,,1..' 4t.,.,, „t .;,t+=, '.'t f t „
g. Monitoring plan implementation
3G g 5.3 Project Manager hours 8 106.00 848.00 0% $848.00
3G g 5.5 Staff Geologist/Scientist hours 56 75.00 4200.00 0% $4,200.00
3G g 5.8 Contract Administrator hours 2 47.00 94.00 0% $94.00
3G g 12.4 Organic Vapor Meter hours 4 75.00 300.00 0% $300.00
3G g 12.1 Misc.Field Supplies days 4 12.00 48.00 0% / $48.00
3G g 12.14 Water Quality Meter hours 4 150.00 600.00 0% $600.00
3G g 9.4 Milage miles 1520 0.41 615.60 0% $615.60
3G g 9.2 Lodging days 4 100.00 400.00 0% $400.00
3G g 9.3 Meals days 8 35.00 280.00 0% $280.00
3G g 12.3 Interface Probe days 4 60.00 240.00 0% $240.00
3G g 6.33 Shipping ship. 4 18.63 74.52 0% / $74.52
3G g 8.9 Analytical Services:BTEX/MTBE/IVPH in Water samples 24 115.00 2760.00 15% $3,174.00
3G g 14.4 IDW Drums hours 4 55.00 220.00 0% / $220.00
Activity Code g.Subtotal $11,094.12
I. Data review 8 reporting
3G i 5.3 Project Manager hours 16 106.00 1,696.00 0% $1,696.00
3G i 5.5 Staff Geologist/Scientist hours 88 75.00 6,600.00 0% $6,600.00
3G i 5.7 CADD Operator hours 16 53.00 848.00 0% ............/....- $848.00
3G i 5.8 Contract Administrator hours 2 47.00 , 94.00 0% $94.00
3G i 5.9 Administrative Support hours 2 43.00 86.00 0% $86.00
3G i 8.33 Shipping ship. 4 18.63 74.52 0% $74.52
Activity Code i.Subtotal $9,398.52
TOTAL 2D COSTS: $20,492.64
PHASE OF WORK COST SUMMARY
INVOICE
PHASE OF WORK CODE AND DESCRIPTION TOTAL COSTS
3A Pilot tests $ -
3B Remediation system design $ -
3C CAP report preparation $ - _
3D Remediation system installation/excavation $ -
3E Remediation system startup&implementation report $ - _
3F Remediation system operation&maintenance $ -
3G Monitoring plan implementation&report preparation $20,492.64
3H Remediation system decommissioning $ -
GRAND TOTAL $ 20,492.64
Weston Solutions,Inc.
Suite 810
■ / 143 Union Boulevard
Lakewood,Colorado 80228-1824
SOLUTIONS . 303-729-6100 0 303-729-6101 •
www.westonsol utions.corn
9 July 2007
Mr. Brad Higgins,Director
Eagle County Road and Bridge
P.O. Box 250
Eagle,Colorado 81631
Subject: Invoice for 2007 Groundwater Monitoring
1st and 2nd Quarter 2007 Sampling and Reporting
Eagle County Basalt Road and Bridge Facility
165 West Sopris Drive,Basalt,Colorado
Weston Solutions, Inc. (Weston®)Work Order No.: 06668.017.002
Dear Mr. Higgins:
Enclosed, please find the invoice for the continued implementation of the Colorado
Department of Labor and Employment Division of Oil and Public Safety(OPS) approved
Corrective Action Plan (CAP) for the former underground storage tank site at the Eagle
County Road and Bridge Facility located at 165 West Sopris Drive in Basalt,Colorado.
Field activities including the groundwater sampling and reporting for the 1'` and 2nd
quarters of 2007 which were conducted in accordance with the OPS approved CAP.
Weston has completed the quarter sampling event and submitted the draft report to Mr.
Raymond Merry for Eagle County review. The final reports have been submitted to the
OPS.
The enclosed invoice is in the amount of$11,000.00. Outstanding work to be completed
under this assignment includes two groundwater monitoring event(August and December
2007) and submitting the corresponding report. Feel free to call me at 303-729-6178 if
you have any questions or require any additional information.
Sincerely,
Jonathan Anstey,P.G.
Project Manager
Weston Solutions, Inc.
Enclosure
cc: Project File: (06668.017.001; 3.3)
Mr.Raymond Merry(enclosures not included)
P:IEAGLE 06668'017.002-2007 GW\Invoice 0707.doe
r REMIT TO: Weston Solutions, Inc.
P.O.Box 538253
Atlanta,GA 30353-8253
= SOLUTIONS,. 610-701-3000/Fax 610-701-4600
TO ENSURE PROPER CREDIT,PLEASE REFERENCE THE INVOICE
NUMBER ON THE REMITTANCE AND RETURN A COPY OF THE
C°71 INVOICE WITH PAYMENT.
Invoice Number: J01.2007-02603
Invoice Date: 07/17/07
Bill To: Remit To:
EAGLE COUNTY ROAD & BRIDGE DEPT Weston Solutions, Inc.
ATTN: MR. BRAD HIGGINS, DIRECTOR P.O. Box 538253
P.O. BOX 250
712 CASTLE DRIVE
EAGLE, CO 81631-0250 Atlanta, GA 30353-8253
Terms: NET 30 Customer PO: Prime Contract:
Due Date: 08/16/07 Invoice Total: 11,000.00
Project Number: 06668.017.002 Description: Basalt 2007 GW Monitoring
Statement of Work:
PROFESSIONAL SERVICE RELATIVE TO
MR BRAD HIGGINS, DIRECTOR
EAGLE COUNTY ROAD & BRIDGE
PO BOX 250
EAGLE CO 81631
Description: AMOUNT
DUE
Sampling 11,000.00
Subtotal: 11,000.00
AMOUNT DUE 11,000.00
Invoice Total 11,000.00
'S 04-03-011/A•09/02 'N V l l I C F
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Suite 810
143 Union Boulevard
Lakewood,Colorado 80228-1824
SOLUTIONS • 303-729-6100•303-729-6101
www.westonsolutions.com
12 December 2007
l
Mr. Brad Higgins,Director
Eagle County Road and Bridge : .
P.O. Box 250 ' $l
Eagle,Colorado 81631 ��
Subject: Final Invoice for 2007 Groundwater Monitoring
Quarter 2007 Sampling and Reporting
Eagle County Basalt Road and Bridge Facility
165 West Sopris Drive, Basalt,Colorado
Weston Solutions, Inc. (Weston®)Work Order No.: 06668.017.002
Dear Mr. Higgins:
Enclosed, please find the final invoice (DEC2007-02683) for the continued
implementation of the Colorado Department of Labor and Employment Division of Oil
and Public Safety (OPS) approved Corrective Action Plan (CAP) for the former
underground.storage tank site at the Eagle County Road and Bridge Facility located at
165 West Sopris Drive in Basalt,Colorado.
Field activities including the groundwater sampling and reporting for the 3r1 and 4th
quarters of 2007 which were conducted in accordance with the OPS approved CAP.
Weston has completed the quarter sampling event and submitted the draft report to Mr.
Raymond Merry for Eagle County review. The final reports have been submitted to the
OPS.
The enclosed invoice is in the amount of$11,000.00. Outstanding work to be completed
under this assignment includes submitting the final quarterly monitoring report to the
OPS report. Feel free to call me at 303-729-6178 if you have any questions or require
any additional information.
Sincerely,
b)frevoN442,4,
Jonathan Anstey, P.G.
Project Manager
Weston Solutions, Inc.
Enclosure
cc: Project File: (06668.017.001; 3.3)
PAEAGLE 066681017.002-2007 GW\Invoice 1207.doc'
WFT `� REMIT TO: Weston Solutions,Inc.
P.O.Box 538253
Atlanta,GA 30353-8253
=Mk_ _AMEEMEDa33. 610-701-3000/Fax 610-701-4600
TO ENSURE.PROPER CREDIT,PLEASE REFERENCE THE INVOICE
NUMBER ON THE REMITTANCE AND RETURN A COPY Of TIFF.
INVOICE WITH PAYMENT.
Invoice Number: DEC2007-02683
taig
Invoice Date: 12/11/07 3^
Bill To: Remit To:
EAGLE COUNTY ROAD & BRIDGE DEPT Weston Solutions, Inc.
ATTN: MR. BRAD HIGGINS, DIRECTOR P.O. BOX 538253
P.O. BOX 250
712 CASTLE DRIVE
EAGLE, CO 81631-0250 Atlanta, GA 30353-8253
Terms: NET 30 Customer PO: Prime Contract:
Due Date: 01/10/08 Invoice Total: 11,000.00
Project Number: 06668.017.002 Description: Basalt 2007 OW Monitoring
Statement of Work:
PROFESSIONAL SERVICE RELATIVE TO
MR BRAD HIGGINS, DIRECTOR
EAGLE COUNTY ROAD & BRIDGE
PO BOX 250 •
EAGLE CO 81631
Description: AMOUNT
DUE
Sampling 11,000.00
Subtotal: 11,000.00
AMOUNT DUE 11,000.00
Invoice Total 11,000.00
•
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WO NUMBER: Ofe kOg• n 1-1 ()O.2- 16
PROJECT MANAGER: , < 1O n S 1u�1
ANALYST: __ 5 1 `-�
DATE INITIALS
1 Prebill and ETC Packet to
PM (Analyst) L (l0 j0 -� ___
_ .
2. Return Prebill and ETC to t
Analyst (PM) if f07 ��
3. Project Review (Program (!
Mgr) )71(01o1 Ci -
4. Edit Prebills (Mappings,
etc.) (Analyst) x
5. Print Draft Invoice • ( `
(Analyst)
.,
g QA Draft Invoice
(PM)
12.111la - CC
7. Print Final Invoice CI
(Analyst) '(i (0. -
g Upload Invoice Backup to
Livelink/EDMS (Analyst)
g. Upload Invoice EDI to
ENFOS (Analyst)
10. Return Packet to PM
(Analyst) /;)*( 1246 ---4-
SPECIAL INSTRUCTIONS:
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ES T Weston Solutions,Inc.
W -. �� 1435 Garrison Street,Ste 100
�� Lakewood,Co 80215
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SOLUTIONS. 303-729-6100
www.westonsolutions.com
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I; ,..31< 7,Reinediation System Installation/excavation;As' := .- ,. $r''! ;ft'r, :� .. st ,,ttr? �. - .'. ,` .,W n"1.1,,,.0,-,>'
I. Excavation
3D I. 5.3 Project Manager hours 44 106.00 4,664.00 0% $ 4,664.00
3D I. 52 Sr Erig 11 11 1' $ 448.00
3D I. 5-5 Staff _ 11 11 1' $ 5,925.00
3D I. 5.8 Contract Administrator hours 2 47.00 94.00 1'. $ 94.00
3D I 12.4 Organic Vapor Meter days 4 75.00 300.00 1' $ 300.00
3D I. 12.1 Misc.Field Supplies days 4 12.00 48.00 1'. $ 48.00
3D I 9.4 Milage , 1 1' _$ 182.25
3D I. Lodging 11 11 :11 11 1'� $ 800.00
3D I 9.3 Meals days 8 35.00 280.00 I' $ 280.00
3D I. 12.3 Interface Probe days 4 32.40 129.60 I' $ 129.60
3D I 6.33 Shi.ping ship. 1 15.00 15.00 I'. $ 15.00
3D I. 1I 690.00 $ 793.50
3D I. 11 194.00 $ 223.10
3D I. 11 38.00 $ 43.70
3D 1 8.7 Utility Locator hours 8 65.00 520.00 $ 598.00
3D I 2.8 Dewatering Decontimination 11 11 11 11 $ 2,875.00
3D I, 13.9 Security Fence days 5 20.00 100.00 0% $ 100.00
3D I. 9.4 Courier miles 220 0.37 81.40 0%
$ 81.40
Activity Code I.Subtotal $ 17,600.55 /
TOTAL 3D COSTS: $17,600.55
Ie 3E". >;: Remediation system startup&implementation report-"-. 3: .. ., _P r-,. .7 , .,-0,_,i" a - -t', »:
I. Data review&reporting
3E I. 5.3 Project Manager hours 10 106.00 1,060.00 0% ' $1,060.00
3E i. 5.5 Staff Geologist/Scientist hours 40 75.00 3,000.00 0% ' $3,000.00
3E i. 5.7 CADD Operator hours 6 53.00 318.00 0% ' $ 318.00
. 3E i. 5.8 Contract Administrator hours 2 47.00 94.00 0% ' $ 94.00
3E i. 5.9 Administrative Support hours 4 43.00 172.00 0% ' $ 172.00
3E i. 6.33 Shipping ship. 1 18.63 18.63 0% $ 18.63
Activity Code I.Subtotal S 4,662.63 /
TOTAL 3E COSTS: S 4,662.63
:- 3G ,"Monitoring'plan implementation&report preparation t,4--Y, _ ? ,t , -,w. .m, " .,,c,.1,,,,-;:,4,.,,,,
g. Monitoring plan Implementation
3G g. 5.3 Project Manager hours 12 106.00 1,272.00 0% $ 1,272.00
3G g. 5.5 Staff Geologist/Scientist _ hours 120 75.00 9,000.00 0% $ 9,000.00
3G g. 5.7 CADD Operator hours 12 53.00 636.00 0% $ 636.00
3G g. 5.8 Contract Administrator days 2 47.00 94.00 0% $ 94.00
3G g. 5.9 Administrative Support hours 4 43.00 172.00 0% $ 172.00
3G g. 12.1 Misc.Field Supplies days 4 12.00 48.00 0% $ 48.00
30 g. 6.33 Shipping days 4 18.63 74.52 0% $ 74.52
Activity Code g.Subtotal $ 11,296.52
I. Data review&reporting
3G i. 5.3 Project Manager hours 12 106.00 1,272.00 0% $ 1,272.00
3G i. 5.5 Staff Geologist/Scientist hours 120 75.00 9,000.00 0% $ 9,000.00
3G i. 5 7 CADD Operator hours 12 53.00 636.00 0% $ 636.00
3G i. 5.8 Contract Administrator hours 2 47.00, 94.00 0% '$ 94.00
3G I. 5.9 Administrative Support hours 4 43.00, 172.00 0% '$ 172.00
3G i. 6.33 Shipping ship. 4 18.63 74.52_ 0% $ 74.52
Activity Code i.Subtotal $ 11,248.52
k. Drilling Number of wells:5
3G k. 5.3 Project Manager hours 1 106.00 106.00 0% $ 106.00
-
3G k. 5.2 Staff Geologist/Scientist hours 8 75.00 600.00 0% '$ 600.00
3G k. 5.8 Contract Administrator hours 1 47.00 47.00 0% $ 47.00
3G k. 12.4 Organic Vapor Meter days 1 75.00 75.00 0% $ 75.00
3G k. 12.1 Misc.Field Supplies days 1 12.00 12.00 0% '$ 12.00
3G k. 94 Milage miles 380 0.41 153.90 0% '$ 153.90
3G k. 9.3 Meals days 1 35.00 35.00 0% $ 35.00
3G k. 12.3 Interface Probe days 1 60.00 60.00 0% $ 60.00
3G k. 6.33 Shipping days 1 18.63 18.63 0% 18.63
3G k. 14.4 IDW Drums
- drums 2 55.00 110.00 0% '$ 110.00
3G k. 2.1 Drilling foot 12 18.00 216.00 15% ' $ 248.40
-
3G k. 2.2 Drill Rig Mob/Demob. . miles 380 4.00 1,520.00 15% '$ 1,748.00
3G k. 2.4 Well Completion foot 12 18.00 216.00 15% $ 248.40
3G k. 10.9 Well Permits permit 1 190.00 190.00 15% $ 218.50
3G k. 3.6 Soil Cuttings Disposal yd' 50 20.00 1,000.00 15% $ 1,150.00
Activity Code k.Subtotal �$ 4,830.83 /
TOTAL 3G COSTS: $27,375.87
.d4'3 Remediation system decoinmissioningi=ia }., . ,m.,rax. ._. ,,, .3 .,xa:?:: . i$4:? .k 4,4N1,,,,s,.;:°hs: . 00it.,:<L:. _•
h. System decommissioning
3H h. 5.3 Project Manager _ hours 3 106.00 318.00 0% '$ 318.00
3H h. 5.5 Staff Geologist/Scientist hours 26 75.00 1,950.00 0% $ 1,950.00
31-1 h. 12.1 Misc.Field Supplies hours 4 12.00 48.00 0% $ 48.00
31-I h. 9.4 Milage miles 380 0.41 153.90 0% $ 153.90
311 h. 9.2 Lodging days 1 100.00 100.00 0% $ 100.00
3H h. 9.3 Meals hours 1 35.00 35.00 0% $ 35.00
3H h. 6.33 Shipping hours 1 18.63_ 18.63 0% $ 18.63
Activity Code h.Subtotal •$ 2,623.53 /
TOTAL 3H COSTS: $ 2,623.53;
3 Y O
us
12 I-
W
0 g lll 111 IV �M� aM mZ $� 0 in
iu
el O Uj 1.2 U Q O jU Q = a = '� ;Ai Y m is F�
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. 3Girr Monitoring plan.implementation&report'preparationzti aqu ;.==1°. l+_4,1 t a,- :,sg ;,`,. ;4 ' " ! ': 7 MK,:^,,,
g. Monitoring plan implementation
3G g 5.3 Project Manager hours 6 106.00 636.00 0% $636.00
3G g 5.5 Staff Geologist/Scientist hours 28 75.00 2100.00 0% $2,100.00
3G g 5.8 Contract Administrator hours 2 47.00 94.00 0% $94.00
3G g 12.4 Organic Vapor Meter hours 2 75.00 150.00 0% $150.00
3G g 12.1 Misc.Field Supplies days 2 12.00 24.00 0%
$24.00
3G g 12.14 Water Quality Meter hours 2 150.00 300.00 0% ' $300.00
3G g 9.4 Milage _ miles 760 0.41 307.80 0% ' $307.80
3G g 9.2 Lodging days 2 100.00 200.00 0% ' $200.00
3G g 9.3 Meals days 4 35.00 140.00 0%
$140.00
3G g 12.3 Interface Probe days 2 60.00 120.00 0% $120.00
3G g 6.33 Shipping ship. 2 18.63 37.26 0% ' $37.26
3G g 6.9 Analytical Services:BTEX/MTBEITVPH in Water samples 12 115.00 1380.00 15% $1,587.00
3G g 14.4 IDW Drums hours 8 55.00 440.00 0% $440.00
Activity Code g.Subtotal $6,136.06
L Data review&reporting
3G i 5.3 Project Manager hours 6 106.00 636.00 0% $636.00
3G i 5.5 Staff Geologist/Scientist hours 60 75.00 4,500.00 0% $4,500.00
3G i 5.7 CADD Operator hours 6 53.00 318.00 0% ' $318.00
3G i 5.6 Contract Administrator hours 2 47.00 94.00 0% `" $94.00
3G i 5.9 Administrative Support hours 2 43.00 86.00 0% $86.00
3G i 6.33 Shipping ship. 4 18.63 74.52 0% $74.52
Activity Code i.Subtotal $ 5,708.52 •
TOTAL 2D COSTS: $11,844.58
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3G_'%,. Monitoring plan implementation&report preparation', a t _. : . ,€ i'4,40--1:,,,,,, .
g. Monitoring plan implementation
3G g 5.3 Project Manager hours 8 . 106.00 848.001 0% $848.00
3G g 5.5 Staff Geologist/Scientist hours 56 75.00 4200.00 0% ' $4,200.00
3G g 5.8 Contract Administrator hours 2 47.00 94.00 0% $94.00
3G g 12.4 Organic Vapor Meter hours 4 75.00 300.00 0% $300.00
3G g 12.1 Misc.Field Supplies days 4 12.00 48.00 0% ' $48.00
3G g 12.14 Water Quality Meter hours 4 150.00 600.00 0% ' $600.00
3G g 9.4 Milage miles 1520 0.41 615.60 0%
$615.60
3G g 9.2 Lodging days 4 100.00 400.00 0% $400.00
3G g 9.3 Meals days 8 35.00 280.00 0% ' $280.00
3G g 12.3 Interface Probe days 4 60.00 240.00 0% ' $240.00
3G g 6.33 Shipping ship. 4 18.63 74.52 0% ' $74.52
3G g 6.9 Analytical Services:BTEX/MTBE/TVPH in Water samples 24 115.00 2760.00 15% $3,174.00
3G g 14.4 IDW Drums hours 4 55.00 220.00 0% $220.00
Activity Code g.Subtotal $11,094.12
I. Data review&reporting
3G i 5.3 Project Manager hours 16 106.00 1,696.00 0% ' $1,696.00
3G i 5.5 Staff Geologist/Scientist hours 88 75.00 6,600.00 0% $6,600.00
3G i 5.7 CADD Operator hours 16 53.00 848.00 0% ' $848.00
3G i 5.8 Contract Administrator hours 2 47.00 94.00 0% ' $94.00
3G i 5.9 Administrative Support hours 2 43.00 86.00 0% ' $86.00
3G i 6.33 Shipping ship. 4 18.63 74.52 0% ' $74.52
Activity Code I.Subtotal $9,398.52
TOTAL 2D COSTS: $20,492.64
PHASE OF WORK COST SUMMARY
INVOICE
PHASE OF WORK CODE AND DESCRIPTION TOTAL COSTS
3A Pilot tests $ -
3B Remediation system design $ -
3C CAP report preparation $
3D Remediation system installation/excavation $ 17,600.55
3E Remediation system startup&implementation report $ 4,662.63
3F Remediation system operation&maintenance $ -
3G Monitoring plan implementation&report preparation $ 59,713.09
3H Remediation system decommissioning $ 2,623.53
GRAND TOTAL
$ 84,599.80
•
EXHIBIT B
ADMINISTRATIVE POLICY 2014-001
CONTRACT APPROVAL PROCESS
Purpose: To establish authorization levels and protocol for the County Manager to enter
into contracts at the request of Eagle County Directors and to provide guidance for ensuring
greater consistency across the various County Departments.
Policy:
1. Directors may request the County Manager enter into contracts up to $25,000 without
the prior approval of the Board of County Commissioners, so long as such funds have been
appropriated through the Eagle County budget process(annual and supplemental budgets).
2. All purchases and contracts must be based upon budgeted appropriations.
3. Any contract greater than$25,000 must be placed on the Board of County Commissioner
calendar for approval at a regular meeting of the Board.
4. If the item is a Memorandum of Understanding (MOU) and/or a contract with no dollar
value, it must nonetheless fit within the Director's departmental goals and objectives and be
entered into by either the County Manager or Board of County Commissioners.
5. Intergovernmental Agreements (IGA) must be approved by the Board of County
Commissioners.
6. In the event of a conflict between the Eagle County Government Financial Management
Policies and this Administrative Policy, the Eagle County Government Financial Management
Policies shall govern.
Procedures:
1. Departments are responsible for processing the contracts they receive and generate.
2. Prior to having a contract executed by either the County Manager (contracts up to
$25,000), or the Board of County Commissioners (contracts greater than $25,000), the Director
must obtain County Attorney's Office review and sign off"approved as to form" with signature
block by both the County Attorney's Office and Administration. If any changes to the contract,
however minor,have been made after County Attorney review and approval, the contra
be resubmitted for County Attorney review. ct must
s.F 3• County Attorney review should be completed prior to sending the contract to the o ther
contracting party. Sending draft agreements prior to County Attorney review is discouraged.
4. It is recommended that a non-alterable version of the contract be sent to th
contracting party for signature the other
Y gnature prior to County Manager or Board of County Commissioner
signature.
5. At least two signed contracts should be obtained. While originals are stron referre
electronic signatures may be utilized in some instances depending upon the type dy p d,
m
the contract. See the Contracts Fact Sheet for more information. One signed original (or contract
ct
with electronic signatures) will be retained by the County Attorney's Office. All additional
signed contracts will be returned to the requesting department for distribution to the
contractor/vendor and/or departmental files. A contract number will be assigned at this time.
6. All payments related to a contract will reference the contract number assigned with a
stamp or shall be written in the right hand corner.
7. All contracts should comply with Resolution No. 2014-__ Resolution A
Guidelines for Purchasing and Contracting. dopting
8. This document supersedes Administrative Policy 2011-001 and any other existing
contract approval policies. sting